Massive cotyledenoid leiomyoma treated with uterine-conserving surgery

William H Parker; Roderick Turner; Stanford Schwimer; Lee Foshag

doi:10.1016/j.xfre.2020.07.007

Massive cotyledenoid leiomyoma treated with uterine-conserving surgery

F S Rep. 2020 Jul 29;1(3):314-316. doi: 10.1016/j.xfre.2020.07.007. eCollection 2020 Dec.

Authors

William H Parker¹, Roderick Turner², Stanford Schwimer³, Lee Foshag⁴

Affiliations

¹ Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Diego, School of Medicine, San Diego, California.
² Saint John's Health Center, Santa Monica, California (retired).
³ LSG Radiology, Santa Monica, California.
⁴ Department of Surgical Oncology, John Wayne Cancer Institute, Saint John's Health Center, Santa Monica, California.

Abstract

Objective: To describe and illustrate a massive cotyledenoid leiomyoma treated with uterine-conserving surgery.

Design: Case report.

Setting: Medical center.

Patients: A 39-year-old woman with a large abdominal mass and a magnetic resonance imaging scan showing a 28-cm multi-lobulated mass.

Interventions: Laparotomy and myomectomy.

Main outcome measures: Recurrence and need for repeat surgery.

Results: No recurrence at 8 years of follow-up.

Conclusions: Cotyledonoid leiomyomas are rare. These benign tumors may be suspected preoperatively based on MRI appearance. Frozen section suggests a benign process and uterine-conserving surgery may be successfully accomplished.

Keywords: Cotyledonoid leiomyomas; benign fibroids; leiomyoma variants; uterine-conserving surgery.